Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $13.24 / $48.42	Facility	26	$12.88	$13.24	$48.42
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.28 / $90.78 / $449.60	Facility	TC	$22.28	$90.78	$449.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $47.25 / $103.90	Professional		$35.15	$47.25	$103.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.90 / $50.30	Professional	26	$12.88	$15.90	$50.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.28 / $31.56 / $54.21	Professional	TC	$22.28	$31.56	$54.21
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $31.54 / $33.13 / $100.00	Facility	26	$31.54	$33.13	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $66.47 / $83.19 / $171.67	Facility	TC	$66.47	$83.19	$171.67
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $71.09 / $314.00	Professional		$44.28	$71.09	$314.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $14.31 / $21.55 / $107.32	Professional	26	$14.31	$21.55	$107.32
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $29.92 / $50.85 / $296.00	Professional	TC	$29.92	$50.85	$296.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.18 / $25.23 / $34.08	Professional	26	$17.18	$25.23	$34.08
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $40.47 / $40.47 / $40.47	Facility	TC	$40.47	$40.47	$40.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $79.69 / $143.22	Professional		$45.10	$79.69	$143.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.07 / $24.81 / $44.84	Professional	26	$15.07	$24.81	$44.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.19 / $53.89 / $103.37	Professional	TC	$33.19	$53.89	$103.37
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $46.65 / $84.03	Professional		$17.21	$46.65	$84.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $108.81 / $145.90	Professional		$54.89	$108.81	$145.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.38 / $32.47 / $42.84	Professional	26	$16.38	$32.47	$42.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $45.43 / $79.34 / $102.08	Professional	TC	$45.43	$79.34	$102.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $31.33 / $72.00	Professional		$19.48	$31.33	$72.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $31.72 / $100.00 / $100.00	Facility	26	$31.72	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $66.47 / $171.67 / $171.67	Facility	TC	$66.47	$171.67	$171.67
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $47.48 / $74.65 / $314.00	Professional		$47.48	$74.65	$314.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $23.68 / $107.32	Professional	26	$14.80	$23.68	$107.32
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $32.74 / $51.45 / $296.00	Professional	TC	$32.74	$51.45	$296.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $61.93 / $112.86	Professional		$44.75	$61.93	$112.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $19.00 / $34.01	Professional	26	$14.44	$19.00	$34.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.06 / $42.71 / $76.15	Professional	TC	$30.06	$42.71	$76.15